The Effect of Self-management Program Based on 5A Model on Self-efficacy of Women with Gestational Diabetes

Document Type : Original Article (s)

Authors

1 MSc student in Midwifery Education, Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Kurdistan, Iran

2 2 -Professor, Department of Midwifery, School of Nursing and Midwifery, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

3 Instructor, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

4 Associate Professor, Department of Epidemiology and Biostatistics, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran

5 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

Abstract

Background: Gestational diabetes is one of the most common problems during pregnancy. To reduce this disease, patients must intervene actively in its control. This study was conducted to determine the effect of the self-management program based on the five-A model on the self-efficacy of women with gestational diabetes referred to the diabetes center of Tohid Hospital in Sanandaj in 2022.
Methods: This semi-experimental study was conducted on 60 eligible pregnant women referred to the diabetes center of Tohid Hospital in Sanandaj. Information was collected using demographic and midwifery profile forms and a self-efficacy questionnaire related to diabetic patients before and after the intervention.  Participants were selected as available and were randomly divided into intervention and control groups. For the intervention group, four training sessions were held for four weeks, while the control group received usual care.
Findings: Based on the results, the two groups had no statistically significant differences in demographic and obstetric variables. Before the intervention, the average self-efficacy score in the intervention and control groups was 33.4 ± 0.7 and 33.1 ± 0.4, respectively (P = 0.840). Finally, the average self-efficacy score at the end of the study was significantly higher in the intervention group (52 ± 0.15 vs. 33.9 ± 4.1, P = 0.001).
Conclusion: The results of the study showed that the self-management program implementation based on the five-A model in pregnant women with gestational diabetes could lead to an increase in self-efficacy, so it can be suggested to use this program in the treatment plan and pregnancy care protocol for pregnant women.

Highlights

Rangin Fatahnia: PubMed

Bijan Nouri: PubMed

Farzaneh Zaheri: PubMed, Google Scholar 

Keywords

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References

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Journal of Isfahan Medical School
Volume 42, Issue 788
4th Week, December
November and December 2025
Pages 928-935

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History

  • Receive Date: 17 July 2024
  • Accept Date: 09 November 2024

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